Job Description

Director of Health Services - Clinical Nurse Practitioner Director of Health Services - Clinical Nurse Practitioner

Skills Required - Director of Health Services, Nurse Practitioner, Nurse, Managed Care, CPT, ICD-9, HCPC,

Director of Health Services - Clinical Nurse Practitioner

We are a leading national healthcare organization. Due to expansion we are looking for a Director of Health Services. In this role you will be responsible for patient case management through quality improvement, case management, credentialing and utilization management.

What you'll be doing!

- Supervise of the Health Services staff
- Oversee referral authorization activities and referral authorization staff
- Supervise all activities related to the authorization of eligible services
- Oversee Authorization Review Committee meetings
- Support the notification process for providers and members to ensure compliance and efficiency
- Supervise the management of in-patient activities/processes
- Manage all activities related to the Quality Improvement process
- Clinical quality monitoring and improvement activities related to preventive health services and chronic illness pertinent to the long-term care population
- Support activities related to the Appeals and Grievances processes to ensure compliance with state, federal and company standards and regulations

What you need for this position!

- 5+ years experience in an HMO/IPA/Managed Care setting
- 5 years hands on clinical experience
- Current Nurse Practitioner license
- Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
- Knowledge of CPT, ICD-9 and HCPC codes.

What's in it for you:

- Competitive salary
- Comprehensive benefits
- Fantastic work environment
- Stability and career advancement
- Other cool perks!

So, if you are a Director of Health Services with hands on clinical experience, please apply today!

Benefits

Dental, Paid Time Off, Holidays, Flexible Spending, Medical, Life, Health Savings Account, 401K, Prescription

Contact Details

Name: Quentin